PED HX

Question 1

pediatric patient?

Answer 1

0-18 years

Question 2

doctrine in which the state also has societal interest in protecting the child from harm?

i.e-like a juvenile who needed transfusion

Answer 2

parens patriae

Question 3

3 broad categories

*all the above

Answer 3

exceptions based on specific diagnostic/care categories

mature minor exception

legal emancipation

Question 4

psychological development (the basics)

0-6 months

6 mos-3 yrs

4-14 yrs

15-17 yrs

*scenario of 2 yr old crying from doctor, which is true?

Answer 4

babies comfortable with strangers

stranger and separation anxiety

cooperative once trust established

cooperative but not as talkative

Question 5

what is period is this within prenatal time frame?

56 days from moment of fertilization
most of organ systems established
most deformities produced during this time
causes of congenital malformations

Answer 5

embryonic period

Question 6

most deformities associated with lower limb problems occur during what weeks during prenatal time?

Answer 6

week 7/8

Question 7

what are considered teratogens prenatally?

Answer 7

drugs and chemicals

• anticonvulsants
• alcohol
• cocaine
• marijuana
• tobacco

Question 8

how do drugs affect the prenatal period?

before the 20th day of fertilization

during organogenesis (20-56 days after fertilization)

after organogenesis (in the 2nd and 3rd trimesters)

Answer 8

all or nothing effect, killing the embryo or not affecting it at all

teratogenesis most likely at this stage

teratogenesis unlikely but drugs may alter growth and function of normally fetal organs and tissues

Question 9

most important developments in the promotion of child health?

Answer 9

immunization

Question 10

Indian child adopted, as the provider you are looking at what vaccine status would narrow diagnosis?

Answer 10

polio, other choices: rubeola, rubella, meningitis

Question 11

this is a specific type of measles that presents with the 3 c’s: cough, conjunctivitis, coryza or; koplik spots or exanthema

Answer 11

rubeola

Question 12

sudden onset of fever, decreased appetite, sore throat, and malaise

1-2 days after the onset of fever, herpangia, and vesiculopapular lesions

diagnosed with clinical presentation and treated with supportive care

what is this disease?

Answer 12

coxsackie virus (hand-foot-mouth)